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Shane Park, MS, RD
NPI 1528639283 · Registered Dietitian · Kinnelon, NJ
Shane Park, MS, RD is a Registered Dietitian provider in Kinnelon, NJ (NPI 1528639283).
Provider details
- NPI number
- 1528639283
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27 Forestdale Rd
Kinnelon, NJ 07405-2558
Phone: (973) 879-6811
Street-level locationGet directions
Mailing address
27 Forestdale Rd
Kinnelon, NJ 07405-2558
Registry dates
- Enumerated
- 2021-07-05
- Last updated
- 2021-07-05
- Certified
- 2021-07-05
Frequently asked questions
- What is Shane Park's NPI number?
- Shane Park's National Provider Identifier (NPI) is 1528639283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Park's specialty?
- Shane Park is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Shane Park located?
- Shane Park's practice location on file with NPPES is 27 Forestdale Rd, Kinnelon, NJ 07405-2558.
- What is Shane Park's phone number?
- The practice phone number listed in the NPPES registry for Shane Park is (973) 879-6811.
- Is Shane Park's NPI active?
- Yes — Shane Park's NPI (1528639283) is active in the NPPES registry as of the last update on 2021-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.